MRS. SUZANNE ELIZABETH GAULDIN RD/LD NPI 1104191931

NPI Information

NPI: 1104191931
Provider Name: MRS. SUZANNE ELIZABETH GAULDIN, RD/LD
Classification: Dietitian, Registered - 133VN1006X
Entity Type: Individual

Specialization: Nutrition, Metabolic

Address:
12175 N 179TH EAST AVE
COLLINSVILLE, OK
ZIP 74021
Phone: (918) 698-0965
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MRS. Suzanne Elizabeth Gauldin, RD/LD is a nutrition and metabolic dietitian registered in Collinsville, OK. MRS. Suzanne Elizabeth Gauldin, RD/LD NPI is 1104191931. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12175 N 179TH EAST AVE
COLLINSVILLE, OK
ZIP 74021-259
Phone: (918) 698-0965

The enumeration date for this NPI number is 3/12/2012 and was last updated on 3/12/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	133VN1006X	Dietitian, Registered	Nutrition, Metabolic	764	OKLAHOMA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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